Ms Jennifer Fairbourn, MS, LMFT in Midvale, UT - Medicare Marriage & Family Therapist Provider

Ms Jennifer Fairbourn, MS, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Midvale, Utah. Her current practice location is 7321 S State St, Suite A, Midvale, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 878-4327.

Ms Jennifer Fairbourn is licensed to practice in Utah (license number 7007405-3902) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992977383.

Contact Information

	Ms Jennifer Fairbourn, MS, LMFT
	7321 S State St, Suite A, Midvale, UT 84047-2055
	(801) 878-4327
	(801) 878-9280

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jennifer Fairbourn
Gender	Female
Speciality	Marriage & Family Therapist
Location	7321 S State St, Midvale, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992977383
Provider Enumeration Date: 03/26/2008
Last Update Date: 02/09/2016

Medicare PECOS Information:

PECOS PAC ID: 3173990546
Enrollment ID: I20240116002397

Medical Identifiers

Medical identifiers for Ms Jennifer Fairbourn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992977383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	7007405-3902 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Jennifer Fairbourn allows following entities to bill medicare on her behalf.

Entity Name	Jennifer Fairbourn Lmft Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356826036 PECOS PAC ID: 5294116455 Enrollment ID: O20220719002188

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jennifer Fairbourn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Jennifer Fairbourn, MS, LMFT 7321 S State St, Suite A, Midvale, UT 84047-2055 Ph: (801) 878-4327	Ms Jennifer Fairbourn, MS, LMFT 7321 S State St, Suite A, Midvale, UT 84047-2055 Ph: (801) 878-4327

Reviews and Comments

Marriage & Family Therapist in Midvale, UT

Mrs. Farrokh Hosseini Mozari, MASTER LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7434 S State St, Midvale, UT 84047 Phone: 801-566-4423
Tyson Scott Smith, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 75 E Fort Union Blvd Unit 142, Midvale, UT 84047 Phone: 661-747-6973
Shelley Hardy, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6770 S 900 E, Midvale, UT 84047 Phone: 801-305-3171
Lilly Landikusic, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 75 E Fort Union Blvd Ste 135, Midvale, UT 84047 Phone: 801-603-2547 Fax: 801-649-0964
Betty Roos, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 75 E Fort Union Blvd Ste 135, Midvale, UT 84047 Phone: 801-603-2547

Ms Jennifer Fairbourn, MS, LMFT - Medicare Couples Therapy in Midvale, UT